Provider Demographics
NPI:1477262053
Name:CUTRER, JEANNE-MARIE BOWLAND (RN)
Entity type:Individual
Prefix:MS
First Name:JEANNE-MARIE
Middle Name:BOWLAND
Last Name:CUTRER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 SW CREEKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-8955
Mailing Address - Country:US
Mailing Address - Phone:985-415-3008
Mailing Address - Fax:
Practice Address - Street 1:1145 SW CYPRESS ST UNIT 100
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-8684
Practice Address - Country:US
Practice Address - Phone:985-415-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201807071RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse